Individual
MRS. KATHLEEN PETERSON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
425 MCLILLIE LN, COVINGTON, TN 38019-6413
(901) 476-7918
Mailing address
425 MCLILLIE LN, COVINGTON, TN 38019-6413
(901) 476-7918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 0000000512
TN
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us